Shirishkumar N Patel, M.D.
Individual provider Active NPI Internal Medicine Physician · Owensboro, KY
NPI 1477582930 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1477582930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 31587 (KY)
- Practice address
- 1201 Pleasant Valley Rd
Owensboro, KY 42303-9811 - Phone
- (270) 417-4700
- Fax
- (270) 417-4709
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Amago Inpatient Services LLC
Apogee Medical Group Georgia
Hospital Medicine Services of FL, LLC
Practice addresses (Care Compare)
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (954) 939-5000
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 333-1000
340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000
700 W Oak St
Osceola Regional Medical Center
Kissimmee, FL 34741-4996
Phone (407) 846-2266
Hospital & facility affiliations
- SGMC Health
- Baptist Health Paducah
- HCA Florida Osceola Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in KY, FL, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040318000007 | KY | Practitioner - Internal Medicine | 4183514631 | Reassigns benefits to 5 organizations |
| I20170612001053 | FL | Practitioner - Internal Medicine | 4183514631 | Reassigns benefits to 2 organizations |
| I20181206000779 | GA | Practitioner - Internal Medicine | 4183514631 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31587 | KY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Deaconess Hospital Inc | Current |
Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Hospitalist | Current |
Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Apogee Medical Group Kentucky PSC | Current |
Accepting new patients | |
| Apogee Medical Group Georgia | Internal Medicine | Current |
Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Hospital Physician Services of Florida PA | Internal Medicine | Current |
Accepting new patients |
| Deaconess Hospital Inc | Current |
Accepting new patients | |
| Owensboro Health Medical Group Inc | Current |
Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current |
Accepting new patients |
| Premier Medical Group, PSC | Internal Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
| South Georgia Medical Center Inc | Past | Accepting new patients | |
| Deaconess Hospital, Inc | Internal Medicine | Past | Accepting new patients |
| Methodist Health, Inc. | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 31587 | KY | |
| Internal Medicine Physician | 207R00000X | 31587 | KY | Yes |
Addresses
Primary practice location
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Mailing address
1501 Copper Creek Dr
Owensboro, KY 42303-1797
Phone (270) 993-0755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200063470 | Medicaid | IN | |
| 64315872 | Medicaid | KY |
NPI Registry JSON
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1477582930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 COPPER CREEK DR",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031797",
"telephone_number": "270-993-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PLEASANT VALLEY RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423039811",
"telephone_number": "270-417-4700",
"fax_number": "270-417-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHIRISHKUMAR",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "31587",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "31587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200063470",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64315872",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
- Ajay Shashik Patel
- Ankur Patel
- Janki A. Patel
- Jigna G Patel
- Pooja V Patel
- Michael Scott Patterson
- Natalie Nicole Patterson
- Andrew S Patton
- Tina Patton
- Pause and Reflect Counseling LLC
All providers in Owensboro, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.